Single transverse extended incision for radical neck dissection

Chagas, José Francisco Salles; Pascoal, Maria Beatriz Nogueira; Aquino, José Luiz Braga de; Filho, Luis Antonio Brandi; Previtale, Evandro Von Zuben; Trillo, Ana Sofia Pontes; Curioni, Otávio Alberto; Rapoport, Abrão; Dedivitis, Rogério Aparecido

doi:10.1590/0100-69912016004012

Cited by 7 publications

(9 citation statements)

References 13 publications

(8 reference statements)

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“…The cervical incision required to achieve the purposes of neck dissection should also allow irrigation of the cervical flaps to avoid ischemia, maintain an adequate relationship with the yugulocarotid axis and limit exposure in case of wound dehiscence. In addition, it should facilitate the possibility to include the primary tumor site in the resection if necessary, be compatible with reconstructive procedures, allow correct separation of stomas (mainly tracheotomy) and allow adequate cervical function with an appropriate esthetic result 7 .…”

Section: Discussionmentioning

confidence: 99%

Radical neck dissection: Oncological, aesthetic and functional approach in patients with head and neck cancer

Gallegos-Hernández¹,

Abrego-Vásquez²,

Zaleta-González³

2022

GAMO

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Background: The type of cervical incision is fundamental to achieve an adequate exposure to the lymphatic levels and to be able to perform a complete neck dissection and a proper staging of the patient; incomplete dissection sub-stages and increases the risk of recurrence. The incision must also offer the lowest morbidity, without aesthetic or functional sequelae; it must combine oncological safety with adequate aesthetics, functionality, and quality of life. Material and methods: A retrospective and observational study in which we evaluate the transverse cervical incision by knowing the number of dissected lymph nodes and complications rate associated to the incision. Results: Forty patients, 35 with squamous cell carcinoma metastasis and 5 with melanoma metastasis. The average of dissected lymph nodes was 25. A single incision allowed the dissection of the five ganglion levels; it was not necessary to convert the incision or make vertical enlargements; the cosmetic result was satisfactory in all patients, there were no significant complications. Conclusion: The transverse cervical incision allows access to the five cervical levels, in the present series the average of dissected lymph nodes was enough to consider the complete procedure. The aesthetic result was satisfactory, and there were no significant complications associated.

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Section: Discussionmentioning

confidence: 99%

Radical neck dissection: Oncological, aesthetic and functional approach in patients with head and neck cancer

Gallegos-Hernández¹,

Abrego-Vásquez²,

Zaleta-González³

2022

GAMO

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“…14 Despite the different incisions described in the literature, it is evident that most of them do not respect the natural skin tension lines originally described by Langer, 15 with the increased risk of contractures at the level of the scar or the appearance of keloids or hypertrophic scars. The alteration of these tension lines secondary to cicatricial retraction will condition the range of cervical mobility, 16 causing pain, in some cases, which may be disabling, directly affecting the physical activity and quality of life of the patient.…”

Section: Discussionmentioning

confidence: 99%

Functional Results of Transverse Extended Incision in Cervical Neck Dissection

Chiesa‐Estomba

Sistiaga-Suárez

Thomas-Arrizabalaga

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Multiple incisions have been described for the surgical approach of cervical neck nodes. All of these descriptions are associated with better or worse exposure of the surgical field as well as with different functional and aesthetic results, which are not always satisfactory. Objective Compare the transverse cervical incision with the classic incision in J or U. Methods This is a retrospective study of 47 patients who required cervical neck dissection between June 15, 2016 and June 15, 2017.A transversal incision was made in these surgeries, and their results were then compared with those of a group of 57 patients treated between January 1, 2010 and January 1, 2012, in whose cases an incision in J or U was made. Results Regarding the incision type, complications were present in 4 (8.5%) cases in the transversal incision group, and in 7 (12.2%) patients of the group of traditional incisions in J or U, without statistical differences (p = 0.078). The only variables associated with complications of healing in the two groups was body mass index (BMI) < 18.5. The patients showed subjective satisfaction with the aesthetic result of the transverse incision, with an average of 7.51 vs 6.20 in the J or U incision. Conclusion The transverse incision represents a safe, aesthetic, and oncologically adequate option, associated with a lower cicatricial retraction rate, without significant complication rate and allowing adequate exposure of the surgical field, similar to the obtained with the classic incision in J or U.

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“…Neck dissection through a single transverse incision in the middle of the neck has been described since 1957. The only original surgical technique of this article is the supraclavicular location of the incision, which was not found in the consulted literature related to the neck radical total lymphadenectomy (8,(15)(16)(17)(18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

Single Supraclavicular Transverse Incision for Radical Neck Dissections

Petroianu¹

2019

chr

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Single transverse extended incision for radical neck dissection

Cited by 7 publications

References 13 publications

Radical neck dissection: Oncological, aesthetic and functional approach in patients with head and neck cancer

Radical neck dissection: Oncological, aesthetic and functional approach in patients with head and neck cancer

Functional Results of Transverse Extended Incision in Cervical Neck Dissection

Single Supraclavicular Transverse Incision for Radical Neck Dissections

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